Medical Billing Specialist

Prime Healthcare; Liverpool City Region; On-site; GBP 25,000 - 45,000; Full time

Job summary

Join a forward-thinking health system as a Medical Billing Specialist, where you will play a crucial role in managing care accounts and ensuring timely follow-ups. This position offers the chance to work in a dynamic environment with a focus on productivity and clear communication with health plans. You will be part of a dedicated team within an organization that values equal opportunity and diversity. If you have a passion for healthcare and possess the skills to navigate billing requirements and contract interpretations, this role is an exciting opportunity to make a difference in the lives of patients and the community.

Qualifications

• 4+ years of experience in hospital managed care/commercial collection required.
• Knowledge of contract interpretation and hospital billing requirements.

Responsibilities

• Lead the timely follow-up of Managed Care/Commercial accounts.
• Communicate efficiently with health plans by phone.

Skills

Managed Care Collection

Contract Interpretation

Hospital Billing Requirements

Education

Bachelor's Degree

Equivalent Work Experience

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 45 hospitals and has more than 300 outpatient locations in 14 states providing more than 2.6 million patient visits annually. It is one of the nation’s leading health systems with nearly 50,000 employees and physicians. Fourteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!

Responsibilities

The Medical Billing Specialist is the lead responsible for the timely follow-up of Managed Care/Commercial accounts. Communicates clearly and efficiently by phone with health plans. Maintains productivity standards and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Minimum of four years hospital managed care/commercial collector experience required.
2. Bachelor’s degree or equivalent work experience preferred.
3. Knowledge of contract interpretation.
4. Familiar with hospital billing requirements.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories.